The Future Of The Healthcare Delivery System

The Nurse Practitioner Core Competencies (NP Core Competencies) forms and builds upon ongoing Master’s and DNP core competencies and these are the channels and background for all graduating NP students. The NP Core Competencies can input their full scope of practice as an independent licensed practitioner. These essential competencies of an NP is fully developed by graduation, no matter what the NPs preferred speciality is. The core competencies are an essential part to face the multispecialty challenges of the changing health care system. By adding knowledge, skill, and ability to independently handle different

Slide 2: A Nurse Executive is a master’s educated individual who is knowledgeable and has developed strong interpersonal relationships with the interdisciplinary team. This individual is accountable and compassionate, showing respect and excellence in their practice. The nurse leader is able to adapt to change especially in regards to technological advances and innovative methods of caring for patients. A driven leader empowers their staff to create an environment that is inclusive and ultimately productive using the team-nursing concept. Individual weaknesses are noted and built upon using team training and consistent educational in-services. This

Now, the graduate level nurse’s leadership attributes have been described in scholarly sources. Based on the documents of the American Association of College of Nursing (AACN) (2013), essentials of graduate nursing must be skilled in organizational and systems leadership role. Specifically, they are supposed to assume leadership roles in quality improvement and patient safety initiatives while working in the interprofessional team context. APN must use communication in an effective way, with regards to speaking, scholarly writing, and group interaction. Nurse leaders should also demonstrate the working knowledge of the current healthcare system and its essential components, including delivery and payment models, sites of care, roles of various stakeholders in the process of care delivery (AACN, 2013).

According to Shellebarger & Edwards (2012), Nurse Educators help shape the future of nursing by educating future novice nurses. Nurse Educators have a core curriculum to follow to ensure lifelong learning in their role. They help shape critical thinking skills in our future nurses by giving them the knowledge needed to think critically. “ Evidence has found that hospital based nurse educators influence safe patient outcome through contemporary evidence based teaching and their contribution of policy development supports safe practice” (Sayers,2012, p. 45). Nurse Administrators take on the role of patient advocates, by ensuring that patients are receiving the highest level of care (Hamic, Hanson, Tracy, & O’Grady, 2014). Nurse Administrators are an important part of management of nurses , they help develop policies and procedures and are change agents in their fields. The Nurse Educator and the Nurse Administrator should be

Over the past few decades, many drastic changes occurred in U.S health care delivery.   Our current healthcare trends demand nurses to take more active role in the health care decisions in hospital setting, long term care setting and in community healthcare setting. Since “nursing is based upon a body of knowledge that is always changing with new discoveries and innovation” Potter and Perry (2005), nursing profession is compelled to grow from being just a traditional bedside nurse. IOM’s future of nursing report which is released in 2010 calls nurses to be “more highly educated, diverse nursing workforce”.

Some of the dilemmas associated with today’s nursing force are: Many are under-educated and task-oriented, unaware of their patient’s plan of care, medical histories, or pertinent results. Too many rely on clinical coordinators and team leaders, when it comes to critical thinking, therefore, miss out on the vital fundamentals, which make nursing such an honorable profession (Grietens, 2007, p. 10). In order to create a stronger, more knowledgeable nursing workforce, entry-level requirements for RNs, as well as APRNs, need to be uniform. In addition, research shows bachelors and masters prepared nurses, result in better patient outcomes. An example of a proposed solution includes:

Change is always vital to progress and the field of nursing is constantly in change. The world that we live in today is creating a higher need for more nurses, changing the way that nurses are educated and creating new approaches to utilize nurses out in the field. On October 5th, 2010, the Institute of Medicine (IOM) released the report “The Future of Nursing: Leading Change, Advancing Health.” The report elaborates on the need for the nursing profession to prepare for the changes that are occurring due to the health care reform and the current

Key Message #2: “Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression.” (Institute of Medicine, 2010, p. 163) As the IOM reports, changes in the health care system are requiring major changes in the nursing education requirements to meet the immediate needs of our patients. Nurses need to understand the importance of obtaining a higher level of education so that they can practice to their fullest

With the help of nurse educators, they are there to educate and teach students, patients, and caregivers about disease prevention and management and health care promotion. The fascinating thing is that being prepared from a master’s program is always constant learning. Not only do the prepared nurses builds on the baccalaureate level, but they are always on their feet to discover new and creative ways to deliver patient-centered care. The master’s prepared nurse would constantly be attending meetings and conferences to come up with better ideas to promote and provide health care, simultaneously learning new things. Sometimes, they may think they know almost everything about healthcare, but when the world is constantly evolving, healthcare would constantly be changing too. Attending meetings, promoting health care, learning and then bringing all those knowledge back to patients and nurses is what keeps patient care great. The role of the master’s prepared nurse provides not just hands on patient care, but they are also prepared to expand their knowledge and pass it on to future nursing candidates to continue to deliver the best quality

There are many skills, traits, and behaviors one must possess in order to be an effective leader. The American Organization of Nurse Executives (AONE) has compiled a list of competencies and skills that nurse leaders should be proficient in. The five competency domains identified by AONE (2011) are “communication and relationship building, knowledge of health care environment, leadership skills, professionalism, and business skills” (p. 3). The competency domain I believe is essential for one to possess in order to be an effective executive nurse leader is communication and relationship building. The competencies AONE (2011) listed under the domain communication and relationship building are “effective communication, relationship management, influence of behavior, ability to work with diversity, shared decision-making, community involvement, medical staff relationship, and academic relationships” (p.3). I will discuss how Tom (nurse manager of a psychiatric unit) did not meet these specific characteristics under that domain.

Attaining a high level of education will improve the healthcare system only if nurses are fully utilizing their knowledge and abilities. Many times nurses face challenges in exercising their abilities and knowledge due to institutional policies or government regulations,

Healthcare changes occurring today along with shrinking budgets and reimbursement rates for hospitals has forced institution CEOs to do more with less. Changes and restructuring of various health facilities require nursing leaders with flexibility and adaptability. Nurse leaders must also consider budgetary constraints, cost effectiveness, patient safety, and quality care while maintaining focus on improved patient outcome. The responsibility of ensuring patients receive safe and high quality care belongs to every employee in the hospital, including support staff such as IV therapy. In this hospital, this led to the development of a nurse director position to oversee the

Leadership traits associated with nurse executives are honesty, credibility, supportiveness, visibility, and flexibility. Nurse executives analyze nursing functions and empower nurses through participatory decision making, shared governance, and employee involvement. Nurse executives share the vision and goals of the hospital and promote application of a nursing theory into the nursing care delivery system. They anticipate the future of health care and nursing and serve as monitor, role model, and preceptor to lower level management (Upeniecks, 2003). Nurse executives in the Magnet program are required to have advance practice degrees with certification in their specialty (ANCC). Understanding evidence-based management and enabling the use of evidence-based knowledge provides the nurse executive with the tools to improve patient outcomes. The transformational leader will remove barriers to improvement and encourage outcome based thinking. While nurse leaders are charged with questioning the status quo, nurse managers in the transformational approach to leadership are charged with maintaining the status quo.

In November of 2010, the Institute of Medicine (IOM) released “The Future of Nursing: Leading Change, Advancing Health”. This special report examined the current state of nursing and changing landscape of the American healthcare system and offered recommendations for the future role nurses should play. The committee that released the report, Committee on the Robert Wood Johnson Foundation, divided it into three parts. Part II of the study, focused on transforming the nursing profession in order to improve America’s healthcare system. In order to achieve this transformation, the committee recommended that nurses attain higher levels of education and training, practice to the full extent of that education and training, and assume more

Before I started this leadership/management coarse I had no idea what qualities a good leader manager needs to hold. I had no idea a registered nurse was considered a leader/manager. Now that I have reviewed all the chapters in the Leadership Roles and Management Functions in Nursing (Marquis & Huston, 2015) I have a full understanding of how important leadership/management functions play in a nurse’s career. Chapters 12-25 describe roles and functions that are needed for a nurse to become a successful leader/manager. These chapters discussed the roles and functioning of organizing, staffing, directing, and controlling.